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Providers.amerigroup.com CONTAINS CONFIDENTIAL PATIENT INFORMATION Long Acting Beta Agonist Duplicate Therapy Prior Authorization of Benefits (PAB) Form Complete form in its entirety and fax to: Prior
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Check the medication label for specific instructions on how to use the long acting beta agonist. Some may require shaking the inhaler or priming it before use.
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Who needs long acting beta agonist:

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Patients with asthma: Long acting beta agonists are often prescribed to individuals with asthma to help control their symptoms and prevent exacerbations. It can provide long-lasting relief and improve lung function.
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Individuals with chronic obstructive pulmonary disease (COPD): Long acting beta agonists can also be beneficial for patients with COPD. It helps in opening the airways and making breathing easier, reducing symptoms such as shortness of breath and wheezing.
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People with exercise-induced bronchoconstriction: Some individuals experience asthma-like symptoms triggered by physical activity, known as exercise-induced bronchoconstriction. Long acting beta agonists can be prescribed to help prevent or reduce the severity of these symptoms during exercise.
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Patients with other respiratory conditions: In certain cases, long acting beta agonists may be used as part of the treatment regimen for other respiratory conditions such as bronchiectasis or interstitial lung disease. This decision is made by healthcare professionals based on the individual's specific needs and medical history.
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Prescribed by a healthcare professional: It is important to note that the decision to use long acting beta agonists should only be made by a healthcare professional. They will assess the patient's condition, medical history, and any other medications they are taking to determine if a long acting beta agonist is appropriate and safe for them to use.

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